Individual
THOMAS W KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
734 W DELAWARE ST, SUITE 217, EVANSVILLE, IN 47710-1667
(812) 647-5142
Mailing address
734 W DELAWARE ST, SUITE 217, EVANSVILLE, IN 47710-1667
(812) 647-5142
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01033665
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042035
BC
IN
05
—
100343950
—
IN
Enumeration date
10/10/2005
Last updated
02/02/2017
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